Nomadic and e-Health Program
Country of Operation
- Deritech Solutions Ltd.For-profit
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
- Higher middle-income (60-80%)
- High-income (80-100%)
SummaryThis program is increasing access to primary care among under-served populations through a network of mobile clinics. The mobile clinics are integrated with an eHealth portal to improve patient data management and reporting.
A 2008 survey in the Federal Capital Territory (FCT) demonstrated that 60% of residents of over 800 communities belonged to the poorest section of society and health officials struggled to measure the impact of health programs, optimize the severely constrained healthcare worker resources, and serve rural populations. Thus, it was clear that ICT could play a major role if it could be effectively implemented to deliver a more cohesive continuum of care. he aim of the eHealth system is to integrate all health delivery in the Federal Capital Territory, networking the mobile clinics, as well as both public and private static primary/secondary facilities to centralize health data management.
Key program components
_Mailafiya: Mobile Health_ Mailafiya - [www.fctmdgmailafiya.org](www.fctmdgmailafiya.org) - aims to increase access to primary health care services for 336 rural settlements and the un-reached urban poor in the Federal Capital Territory. Mailafiya sends out teams of health professionals with an off-road truck equipped with essential drugs, vaccines and laboratory equipment with a medical officer as a team leader to deliver free medical services to isolated communities. Each team is composed of medical officer as a team leader, a staff nurse midwife, laboratory scientist or technologist or technician, a voluntary community health worker as member and a truck driver. Mailafiya plans to use static primary health centers (PHCs) as the operational bases for their mobile teams. The program's operations have informed the construction of needed additional government PHCs in 52 clusters. At the moment 30 prototype PHC facilities are at various stages of completion and an additional 22 will be concluded by the year 2012.
_e-Health Pilot_ The Federal Capital Territory e-Health Web Portal initiative - [www.ehealthfct.net](www.ehealthfct.net) - was borne out of a desire to achieve a seamless health management system. The online portal seeks to manage patient data/statistics and to close any existing gaps between the primary and secondary health systems by linking data across health facilities, including primary health care clinics, community health care centres and both public and private secondary health care facilities. The eHealth program includes: * Patient data management * Archives of hospital visits/records tied to each patient's profile * Related key performance indicators * Capacity building programs for all health workers
With the successful implementation of the pilot e-health project in 2 private, 4 Primary Healthcare providers and 2 secondary facilities at the level of hospital data management, the Federal Capital Territory is now on a testing the system in 12 secondary, 8 primary, and 2 private health care facilities. The Nigerian Federal Capital Territory is on the verge of applying the e-Health technologies in all Private and Public Health facilities with linkages to the Static and Mobile Primary Health Care service providers for seamless 2-way referral operations. It is expected that, among other benefits, this will eliminate delays in the management of referrals as every service point will have access to information on available specialties, bed space and support logistics.